Individual
DR. JOSE J. MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
300 W HOSPITAL RD RM 11C17, EISENHOWER ARMY MEDICAL CENTER, FORT GORDON, GA 30905-5650
(706) 787-4657
(706) 787-1745
Mailing address
300 W HOSPITAL RD RM 11C17, EISENHOWER ARMY MEDICAL CENTER, FORT GORDON, GA 30905-5650
(706) 787-4657
(706) 787-1745
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
054420
GA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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